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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CALVIN L. BRADDOCK, PT

Active

CALVIN L. BRADDOCK, PT is a Physical Therapy Assistant healthcare provider located in STARKVILLE, Mississippi. NPI 1679449185 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · STARKVILLE, MS

Registration Details

NPI Number
1679449185
Provider Type
Individual
Gender
Male
NPI Issued
Oct 13, 2025 (0.80694032613756 yrs)
Last Updated
Oct 13, 2025
License
1271 (MS)

Practice Information

Address
74 CLAIBORNE WAY
STARKVILLE, MS, 397598544
Browse MS providers · Browse ZIP 39759
Phone
8774073422
Fax
8774074329
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in STARKVILLE, MS

Name Credential NPI
MRS. KAREN ELIZABETH ROBERSON RPT 1184836496
WILLIAM H MARTIN PT 1942439252
PAUL A KOSKO PT 1871722173
DANIEL F DONNELLY PT 1487973731
DR. MARY MARGARET CROWSON PT, DPT 1033407044
SARAH ELIZABETH HARTLEY D.P.T. 1265703805
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.